Organization
AID ATLANTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA STIDHAM (CHIEF OF MANAGED CARE)
(323) 860-5200
Entity
Organization
Contact information
Practice address
1605 PEACHTREE ST NE, ATLANTA, GA 30309-2433
(404) 870-7700
(404) 870-7719
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(833) 241-7615
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
11D1013395
GA
Other
Enumeration date
12/07/2006
Last updated
09/11/2019
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